Petruzzi, Nina Casella

Petruzzi, Nina Casella is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Petruzzi, Nina Casella can be contacted via phone (856) 342-2000.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103-1461
Phone: (856) 342-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057670 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00382800 New Jersey

Profile Details

NPI number 1528441862
LBN Legal business name Petruzzi, Nina Casella
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Dec 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528441862 NPPES
New Jersey MEDICAID 0529885

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